COMMENT: The anesthesia used was 1% lidocaine with 1:10,000 epinephrine. The skin was prepped in a sterile fashion with Betadine. Histologic tumor-free margins were obtained in 2 stages and 2 pieces by standard Mohs micrographic techniques. Postoperative size 2.7 x 0.5 cm.

Anesthesia with 1% lidocaine with epinephrine 1:100,000 and another sterile prep were performed. A wedge excision was completed by carrying down an excision through the full thickness of the ear and cartilage with an inward facing Burow's triangle. The wound was then closed in a layered fashion re-approximating the cartilage with 4-0 Vicryl sutures and re-approximating the dermis with 5-0 Monocryl sutures, and then re-approximating the epidermis with a running top suture of 6-0 Prolene. This was completed after electrodesiccation to obtain hemostasis. Postoperative length wrapping around the ear once this wedge was closed was 4.5 cm. Estimated blood loss minimal. Complications none. Routine wound care

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